Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON WALLACE, OD
ActiveDR. JASON WALLACE, OD is a Optometrist healthcare provider located in CELEBRATION, Florida. NPI 1689751166 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CELEBRATION, FL
Registration Details
- NPI Number
- 1689751166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.821018226231 yrs)
- Last Updated
- Nov 8, 2017
- License
-
OPC4182 (FL)
Practice Information
- Address
-
502 CELEBRATION AVECELEBRATION, FL, 347474687Browse FL providers · Browse ZIP 34747
- Phone
- 4075668505
- Fax
- 4075668253
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CELEBRATION, FL
| Name | Credential | NPI |
|---|---|---|
| RAYMOND RODRIGUEZ III | O.D. | 1093701997 |
| DR. RONALD SHERBURNE GRAND | O.D. | 1952390460 |
| DR. MARGARET LOUISE GRAND | O.D. | 1043209117 |
| DR. CHRISTINE Y BLICK | OD | 1235341116 |
| CARINA MICHELE GRAND | OD | 1659156503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.